Brain Imaging in Cerebral Venous Outflow Disturbance

Capital Medical University

Status: Enrolling

Conditions: Abnormal Cerebral Venous Sinus Morphology; Internal Jugular Vein Stenosis; Image

Treatments: Radiation: resting-state functional magnetic resonance imaging (rs-fMRI); Radiation: high-resolution 3D-T1; Radiation: susceptibility-weighted images (SWIs); Radiation: arterial spin labeling (ASL) perfusion magnetic resonance imaging (MRI); Radiation: diffusion tensor imaging (DTI)

Study type: Observational

Funder types: Other

Identifiers

NCT05820165

COVD-BI

Details and patient eligibility

About

Cerebral venous outflow disturbance can lead to cerebral hemodynamic disturbances, altered cerebrospinal fluid dynamics, cerebral venous blood stasis, increased cerebral venous pressure and decreased cerebral perfusion, cerebral white matter sparing-like changes, and widening of retinal vessel diameter. These changes are associated with numerous neurological signs and symptoms. Therefore, understanding the brain structural and functional changes in patients with cerebral venous outflow disturbance is essential to provide specific imaging evaluation indicators and new diagnosis and treatment methods for patients with cerebral venous return disorders.

Full description

Cerebral venous outflow disturbance can lead to cerebral hemodynamic disturbances, altered cerebrospinal fluid dynamics, cerebral venous blood stasis, increased cerebral venous pressure and decreased cerebral perfusion, cerebral white matter sparing-like changes, and widening of retinal vessel diameter. These changes are associated with numerous neurological signs and symptoms. A number of central nervous system disorders such as transient global amnesia, transient monocular blindness, primary labor headaches, and even Parkinson's have been reported to be closely associated with internal jugular vein stenosis. Other common clinical manifestations include sleep disturbances, tinnitus, tinnitus, headache, visual impairment, optic papilledema, hearing loss, cognitive decline and neck discomfort and even autonomic dysfunction. The main objective of this study is to investigate the structural and functional network changes in patients with cerebral venous outflow disturbance using different brain imaging techniques, to clarify the correlation between symptoms of cerebral venous outflow disturbance and brain structure and function; to identify areas with corresponding structural and functional changes in patients with cerebral venous outflow disturbance and or comorbid symptoms, and to provide specific imaging assessment indicators and new diagnostic and treatment tools for patients with cerebral venous outflow disturbance and comorbid symptoms.

Enrollment: 80 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Cerebral venous outflow disturbance( moderate to severe stenosis in cerebral venous sinus or intracranial jugular veins ) is confirmed by two of magnetic resonance venography (MRV), computed tomography venography (CTV) or digital subtraction angiography (DSA)
• Accompanying symptoms such as tinnitus cerebri, cognitive decline, anxiety depression, sleep disorders, etc. for more than 6 months

Exclusion criteria

• ear primary disease medicine related intracranial hypertension; Systemic disease of abnormal metabolism or inflammation; moderate to severe stenosis in intracranial, carotid or vertebral arteries; intracranial lesions.

Trial design

80 participants in 3 patient groups

CVOD-WS

Description:

Cerebral Venous Outflow Disturbance with symptoms such as tinnitus cerebri，somnipathy ，anxiety ，depression and cognitive decline

Treatment:

Radiation: arterial spin labeling (ASL) perfusion magnetic resonance imaging (MRI)

Radiation: susceptibility-weighted images (SWIs)

Radiation: diffusion tensor imaging (DTI)

Radiation: resting-state functional magnetic resonance imaging (rs-fMRI)

Radiation: high-resolution 3D-T1

CVOD-WOS

Description:

Cerebral Venous Outflow Disturbance without symptoms such as tinnitus cerebri，somnipathy ，anxiety ，depression and cognitive decline

Treatment:

Radiation: arterial spin labeling (ASL) perfusion magnetic resonance imaging (MRI)

Radiation: susceptibility-weighted images (SWIs)

Radiation: diffusion tensor imaging (DTI)

Radiation: resting-state functional magnetic resonance imaging (rs-fMRI)

Radiation: high-resolution 3D-T1

HC

Description:

Healthy control

Treatment:

Radiation: arterial spin labeling (ASL) perfusion magnetic resonance imaging (MRI)

Radiation: susceptibility-weighted images (SWIs)

Radiation: diffusion tensor imaging (DTI)

Radiation: resting-state functional magnetic resonance imaging (rs-fMRI)

Radiation: high-resolution 3D-T1